Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $30.00 / $147.86	Professional		$22.40	$30.00	$147.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.92 / $4.67	Professional		$2.94	$3.92	$4.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Facility		$33.33	$33.33	$33.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $39.78	Professional		$33.33	$33.33	$39.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $38.96 / $73.05	Professional		$4.91	$38.96	$73.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $24.51 / $37.61	Facility		$18.04	$24.51	$37.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $39.78	Professional		$33.33	$33.33	$39.78
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $25.83 / $42.08	Professional		$23.68	$25.83	$42.08